Medexpress Urgent Care, PC - Pennsylvania

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

MEDEXPRESS URGENT CARE, PC - PENNSYLVANIA

Doing business as

MedExpress Urgent Care - State College

Practice address

1613 N Atherton St
Suite B
State College, PA 16803-3073

Phone

(814) 238-1066

Fax

(814) 238-1455

NPI assigned

Apr 14, 2010

Last updated

May 1, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Joy Kimball

Title

Contract Manager

Phone

(763) 349-6740

Specialties & licenses 2

Addresses

Other names 1

• MedExpress Urgent Care - State College Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Marissa Renee Bennett, PA-C

  • Medical Physician Assistant
  • Beaver Falls, PA
  • NPI 1063757979
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1271203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714521600000",
    "number": "1245556398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "423 FORTRESS BLVD",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265081351",
            "telephone_number": "304-225-2500",
            "fax_number": "304-985-6350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1613 N ATHERTON ST",
            "address_2": "SUITE B",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168033073",
            "telephone_number": "814-238-1066",
            "fax_number": "814-238-1455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDEXPRESS URGENT CARE, PC - PENNSYLVANIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-14",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A",
        "authorized_official_last_name": "KIMBALL",
        "authorized_official_first_name": "JOY",
        "authorized_official_title_or_position": "CONTRACT MANAGER",
        "authorized_official_telephone_number": "763-349-6740"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MedExpress Urgent Care - State College",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lilian Patrice McKinley, MD
• Timothy David McKinley
• Andrew McKinnon
• Dylan McNeill
• Marjorie Mearkle, IBCLC
• Medi Home Health Agency, Inc. (Medi Home Hospice)
• Medi Home Health Agency, Inc. (Medi Home Health Agency)
• Andrea Elisa Medina-Monk, MS, CCC-SLP
• Brianne Beth Meek, RD
• Laurie Meguro, PSYD

• Urgent Care Clinic/Center in State College, PA
• Providers in State College, PA by specialty
• Urgent Care Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.